Summary
Work Preference
Overview
Work History
Education
Skills
Essential Skills
Timeline
Generic
Zaru J Bey
Open To Work
Verified
This profile is verified using an email address.

Zaru J Bey

Charlotte,NC

Summary

Highly motivated, dedicated professional, successful at managing multiple tasks and the ability to prioritize workload in a remote setting. Strong problem-solving, customer service, organizational, and verbal communication skills. Reliable individual with good decision making and judgmental capabilities, attention to detail-oriented and enthusiastically pursuing the opportunity to contribute to team success through skills and ability to work hard in a complex environment that allows professional and personal growth.

Work Preference

Job Search Status

Open to work
Desired start date: Open to discussion

Desired Job Title

INSURANCE VERIFICATION SPECIALISTSURGERY PRE-CERT COORDINATORSURGERY COORDINATORAPPLICATION SUPPORT SPECIALISTSPECIAL TESTING TECHNICIAN -COA

Work Type

Full TimePart TimeContract WorkGig WorkConsultingVolunteerSeasonal Work

Location Preference

RemoteHybrid
Location: Greensboro, NC
Open to relocation: Yes

Overview

28
28
years of professional experience

Work History

INSURANCE VERIFICATION SPECIALIST

NOVANT HEALTH PRESBYTERIAN MEDICAL
10.2023 - 04.2026
  • Responsible for ensuring appropriate insurance verification, i.e. correct coverage, applicable benefits, and coordination of benefits. Work denials from QA and meet monthly productivity.
  • Responsible for reviewing authorization requirements and ensuring approvals are obtained for surgeries, radiology/ancillary appointments, and hospital Inpatient stays.
  • Communicate with other hospital departments including admitting/registration, financial counseling, and utilization review.
  • Communicate with provider offices (i.e. surgery schedulers, patient service coordinators, etc.) to ensure authorization initiation, gather additional clinical information, relay pertinent insurance information, etc.
  • Communicate with insurance providers via phone and electronically via web portals to validate patient benefits, check authorization requirements, and review authorization status.
  • Responsible for maintaining and properly handling inbound and outbound calls.
  • All responsibilities should contribute to providing the remarkable patient experience, team member experience, and an overall reduction in denials and write-offs.
  • REVENUE CYCLE SERVICES |REMOTE INSURANCE VERIFICATION SPECIALIST

SURGERY PRE-CERT COORDINATOR

HORIZON EYE CARE
05.2021 - 10.2023
  • Responsible for all aspects of insurance benefits for resolving referral, precertification, prior authorization and predetermination including injectable medications and imaging studies.
  • Contacts appropriate insurance companies for benefit verification, predetermination, prior approval to meet medical necessity, deductible amounts, coinsurance, and copays.
  • Supplies documentation and uploads to patients chart their benefits, cost share and prior approval including Practice Management alert system and notifies hospital utilization/billing department of pre-certification.
  • Working knowledge of patient management systems including insurance, information, and verification modules. (Availity, BCBS, Cigna, Aetna, Medicare, NC Tracks, VA, UHC, Navi Net, HS Connect)
  • Works with Veteran Affairs authorization portal and NC Services for the Blind authorization system.
  • REMOTE SURGERY PRE-CERT COORDINATOR

SURGERY COORDINATOR

HORIZON EYE CARE
05.2021 - 05.2021
  • Schedule Outpatient Hospital surgery and collect all pertinent data for upcoming surgeries.
  • Schedule and coordinate patient office surgeries such as Corneal Crosslinking and Pterygium.
  • Familiar with various field's concepts, practices, and surgical procedures and Medical clearances.
  • Knowledge of pre-operative requirements, pre-cert guidelines, surgical coding and billing.
  • Responsible for coordinating entire co-managements process and protocols.
  • Use Next Gen EHR, PM and Novant Health's Community connect and Epic's share point to maintain posted surgical procedures. Use of IQUEUE to request and release OR time.
  • Organization and communication skills, EHR documentation.
  • Skilled in talking to corneal, retina, glaucoma, and pediatric patients about their surgical procedures, RBAs, and consents, cost and payments, scheduling patients for pre-surgical testing such as ASCAN biometry, Topographies, scheduling post-op visits, working close with technicians, doctors, surgery scheduling, billing and Precertification departments.

APPLICATION SUPPORT SPECIALIST

MEDFLOW
12.2014 - 11.2015
  • Effectively worked to troubleshoot and resolve issues in ophthalmology software environment including but not limited to SQL and database changes and functions.
  • Provided communications and clinical support interactions with clients for applications inquiries and resolution of software issues.
  • Use of software tools to handle the Medlow's structured IT Project Management program such as Clinical Menu, Schedule view, ASC module, Optical and billing modules, new crop ERX, Patient portal.
  • Software: Kayoko, NetSuite, Outlook, Skype, Microsoft (Word, Excel, Office), SQL, GoToMeeting, Server RDC, Secure Link, Zoom, NextGen, Epic.
  • Skills: Team building, troubleshooting, training, building, project management, ICD-10, Meaningful Use.

SPECIAL TESTING TECHNICIAN -COA

HORIZON EYE CARE
05.2012 - 12.2014
  • Perform HVF, OCT, A-scan Biometry, Manual Keratometry, Fundus Photography, Fluorescein Angiography, B-scan.
  • Fast-paced environment in multi-specialty clinics.

OPHTHALMIC SPECIAL TESTING TECHNICIAN

CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES
04.2008 - 05.2012
  • Graduate of 2008 Ophthalmic Technician Intern Program.
  • Perform HVF, OCT, A-scan Biometry, Manual Keratometry, Fundus Photography, Fluorescein Angiography, B-scan.
  • Fast-paced environment in multi-specialty clinics.

PATIENT REPRESENTATIVE-FLOATER

CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES
08.2004 - 04.2008
  • Surgery Precertification Coordinator - Worked in Precertification department for Ophthalmic Surgeries/Procedures for clinic and ASC.
  • Team oriented and responsible for the varietal activities related to patient intake and care.
  • Greeted and check-in patients, verify information and enter it into the system, collect payments for services, answer the phone, schedule appointments and file paperwork.
  • Trained and mentored new hired patient representatives and managed patient Assistance program.

INSURANCE VERIFICATION SPECIALIST

LASH GROUP
11.2003 - 05.2004
  • Effectively research and resolve prescription processing rejections to ensure patients receive medications within established patient standards.

PATIENT REPRESENTATIVE II, CSR

ATRIUM HEALTH
05.1998 - 01.2003
  • All aspects of front desk duties included Greeting and to check-out patients, ICD-9 coding and billing, Posting and batch data entry and claim filing, Insurance verification.

Education

Medical Billing and Coding -

Ed2go.com
12.2025

Certified Ophthalmic Assistant -

JCAHPO
12.2020

A.A.S. - Business Administration, Accounting

STANLY COMMUNITY COLLEGE
12.1989

Skills

Medical Billing and Coding

Insurance Eligibility Verification

Precertification

Claims Adjudication

Benefits Review

Patient Cost Share Analysis

Medical Billing and Coding Software

Insurance Carrier Portals

Prior Authorization

Ophthalmic EPIC/EHR

ICD-10

CPT

Medical Terminology

Insurance Terminology

HIPAA Compliance

Data Entry

Data Management

Electronic Health Records

Microsoft Office (Word, Excel, Office)

Communication

Troubleshooting

SQL

Database Management

EPIC/EMR

PHC SharePoint

NH Community Connection

NextGen

Medflow

Workforce

Leadership

Training

Mentoring

Customer Satisfaction

Operational Improvements

Essential Skills

Works remote to verify insurance eligibility, precertification, predetermination, claims adjudication, review benefits and patient cost share for office procedures and hospital surgeries with the use of medical billing and coding software., Utilization of Insurance Carrier Portals such as Availity, UHC, Cigna, Anthem, Blue-E, Medicare (Palmetto), Veteran Affairs, HS Connect, My Insurance Manager, HS Connect, NC Tracks (Medicaid), Samacare to verify benefits and obtain prior authorizations., Use of CoverMyMeds, Good Days, Patient Assistance programs, and Samacare portals to obtain prior authorization for Eye injections for Retinal disease such as Avastin, Eylea, Vabysmo., Application support specialist Ophthalmic EPIC/EHR, ICD-10, CPT, Medical and Insurance Terminology, Maintain HIPPAA/Patient confidentiality, Data entry, data management, Electronic Health Records, Microsoft Office systems (Word, Excel, Office), Provided strong communications and clinical support interactions with client for application inquiries and resolution of software issues., Effectively worked to troubleshoot and resolve issues in an ophthalmology software environment in basic SQL and database changes and functions., Advanced abilities in software systems EPIC/EMR, PHC SharePoint, NH Community Connection, NextGen, Medflow, Workforce, Trained and mentored, Patient representatives, Special Testing technicians surgical and precertification coordinators, in roles. Excellent reputation for resolving problems, improving customer satisfaction, and driving overall operational improvements.

Timeline

INSURANCE VERIFICATION SPECIALIST

NOVANT HEALTH PRESBYTERIAN MEDICAL
10.2023 - 04.2026

SURGERY PRE-CERT COORDINATOR

HORIZON EYE CARE
05.2021 - 10.2023

SURGERY COORDINATOR

HORIZON EYE CARE
05.2021 - 05.2021

APPLICATION SUPPORT SPECIALIST

MEDFLOW
12.2014 - 11.2015

SPECIAL TESTING TECHNICIAN -COA

HORIZON EYE CARE
05.2012 - 12.2014

OPHTHALMIC SPECIAL TESTING TECHNICIAN

CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES
04.2008 - 05.2012

PATIENT REPRESENTATIVE-FLOATER

CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES
08.2004 - 04.2008

INSURANCE VERIFICATION SPECIALIST

LASH GROUP
11.2003 - 05.2004

PATIENT REPRESENTATIVE II, CSR

ATRIUM HEALTH
05.1998 - 01.2003

A.A.S. - Business Administration, Accounting

STANLY COMMUNITY COLLEGE

Certified Ophthalmic Assistant -

JCAHPO

Medical Billing and Coding -

Ed2go.com

Similar Profiles

  • Yixsenia RuizYixsenia Ruiz

    Insurance Verification Specialist at Miami GastroInsurance Verification Specialist at Miami Gastro

  • Matthew VigilMatthew Vigil

    Insurance Verification Specialist at CHRISTUS St. VincentInsurance Verification Specialist at CHRISTUS St. Vincent

  • Johanna BrianJohanna Brian

    Insurance Verification Specialist at Rosenberg Children’s DentistryInsurance Verification Specialist at Rosenberg Children’s Dentistry

  • ANDREA JAMESANDREA JAMES

    Insurance Verification Specialist at SCA Charlotte Surgery CenterInsurance Verification Specialist at SCA Charlotte Surgery Center

CREATE PROFILE